An increasing number of today’s employers are turning to reference-based pricing to save on their healthcare spend. The model has gained popularity at a rapid pace, with 60% of employers planning to use the model within the next 3-5 years. Because this model uses Medicare as a benchmark for coverage costs, members can not only […]
When looking for alternative healthcare coverage models, many employers turn to reference-based pricing and value-based pricing. Learn the difference.
A reference-based pricing model is a data-driven approach to healthcare coverage that acts as a cost-containment method. Read on to learn more benefits.
The volatility of today’s economy makes saving on internal expenses just as important to a company’s financial strategy as increasing revenue. In fact, by maximizing internal savings businesses could see an increase in their bottom lines without additional sales efforts. As one of the top sources of corporate spending, it’s time to take a serious […]
Medical debt collection is a huge burden for many Americans. Medical emergencies and unexpected diagnoses often result in giant bills that can easily overwhelm people who otherwise never miss a debt payment. Unpaid bills appear on credit reports, lowering credit scores and making it difficult for consumers to access affordable mortgages, car loans, and other […]
Small groups can benefit from self-funding. There are four essential elements to a successful small group self-funded program. Experienced Third Party Administrator (TPA). For a small group, a TPA should have experience and staff that can handle the specific issues that may arise because many small groups do not have fully staffed Human Resource and […]
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Brokers and TPAs Need to be Aware: The December 31, 2024 Gag Clause Attestation Submission Deadline Nears
Cost ContainmentBrokers and TPAs may have the obligation to complete the Gag Clause Prohibition Compliance Attestation Submission (“Attestation”) on behalf of their self-funded group health plan clients, pursuant to an agreement with their clients. Although plans are responsible for filing the Attestation, TPAs and brokers may file on behalf of their clients. What is a Gag […]